CAJ | 학술논문

目的观察喉罩麻醉与气管内插管麻醉用于乳腺癌手术的安全性和可行性.方法 40例行择期乳腺癌根治术患者,ASA分级均为Ⅰ～Ⅱ级,随机分为喉罩组(A组)和气管导管组(B组),每组20例.观察和记录两组患者麻醉前(T0)、插管或放置喉罩后即刻(T1)、插管或放置喉罩后5 min(T2)、术后拔管或喉罩后即刻(T3)、拔出导管或喉罩后5 min(T4)的SBP、DBP、HR和SPO2.观察和随访两组患者拔管期不良反应和术后麻醉相关并发症.结果 B组T1、T3的SBP、DBP、HR显著高于A组(P<0.05);B组拔管期躁动、呛咳和术后咽痛明显高于A组(P<0.05).结论与气管插管全麻相比,喉罩通气全麻用于乳腺癌根治术血流动力学更平稳,麻醉相关并发症更少.
목적 관찰후조마취여기관내삽관마취용우유선암수술적안전성화가행성.방법 40례행택기유선암근치술환자,ASA분급균위Ⅰ～Ⅱ급,수궤분위후조조(A조)화기관도관조(B조),매조20례.관찰화기록량조환자마취전(T0)、삽관혹방치후조후즉각(T1)、삽관혹방치후조후5 min(T2)、술후발관혹후조후즉각(T3)、발출도관혹후조후5 min(T4)적SBP、DBP、HR화SPO2.관찰화수방량조환자발관기불량반응화술후마취상관병발증.결과 B조T1、T3적SBP、DBP、HR현저고우A조(P<0.05);B조발관기조동、창해화술후인통명현고우A조(P<0.05).결론 여기관삽관전마상비,후조통기전마용우유선암근치술혈류동역학경평은,마취상관병발증경소.
Objective To study the safety and efficacy of laryngeal mask airway(LMA) used in breast cancer general anesthesia. Methods Forty ASA Ⅰ or Ⅱ patients with breast cancer scheduled for selective radical mastectomy under general anesthesia were allocated randomly to either laryngeal mask airway group(group A,n =20) or tracheal tube group(group B, n = 20). SBP, DBP, HR, SpO2 of patients before anesthesia(To)/after intubation immediately (T1) and 5 minutes(T2) after intubation tracheal tube or laryngeal mask intubation/after extubation immediately (T3) and 5 minutes(T4) of after extubation tracheal tube or laryngeal mask were recorded. The different incidence of anesthetic complications and side effect were observed in both groups because intubation and extubation. Results In group B, SBP, DBP and HR were significantly higher than those in group A at T1 and T3 (P ＜ 0.05). Agitation, bucking and pharyngodynia incidence rate in group B were significantly higher than group A(P ＜ 0.05). Conclusion Ventilation with LMA in patients underwent breast cancer radical correction was better than endotracheal intubation general anesthesia in keeping stable hemodynamics and producing less anesthetic complications.